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Applications of Upper Limb Biomechanical

Angel Gil-Agudo(1), Antonio del Ama-Espinosa(1), Ana de los Reyes-Guzmán(1), Alberto Bernal-Sahún(2) and Eduardo Rocón(3)

[1] Biomechanics and Technical Aids Department. National Hospital for Spinal Cord Injury, SESCAM, Spain

[2] INDRA Sistemas S.A., Spain

[3] Bioingeneering Group. CSIC, Spain

Impaired upper limb function is one of the most common sequelae in central nervous system. In spinal cord injury (SCI) patients, upper limbs are affected in more than 50% of cases (Wyndaele and Wyndaele 2006). Upper limb strength is impaired to some extent in people who have suffered cervical SCI making it difficult for them to perform many activities of daily living (ADL) essential for their autonomy such as wheelchair manual propulsion, eating, drinking, and personal  hygiene (Parker et al. 1986; Nakayama et al.1994). In contrast with lower limbs, upper limbs have extensive functionally due to the mobility of numerous joints that can execute fine movements thanks to complex neuromuscular control. Lower limbs movements have been broadly analyzed in biomechanical studies specially regarding gait analysis. Gait analysis has evolved over the last decades as an important technique to assist in the clinical assessment of patients with mobility dysfunction. These techniques are useful for evaluation, treatment, and surgical planning; in addition, sequential assessments help to provide a functional outcome evaluation. Motion analysis offers an objective method for quantifying movement and is considered a gold standard for evaluating lower limb function during gait in different types of patients.

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abril 2018

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